Iranian Journal of

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Background: The American Diabetes Association in 1997 switched its recommendations regarding the screening of pregnant women from universal to risk factor-based screening. The ADA specifically recommended that screening is not cost-beneficial in women under the age of 25, with a normal weight and negative family history of diabetes.
Methods: 910 pregnant women attending the diabetes clinic at Bushehr University of Medical Sciences were screening for gestational diabetes using a 50-gram glucose challenge test. All the women were 24-28 weeks pregnant at the time of testing. Women with a post-load blood glucose of ≥140mg/dl were referred for a 3-hour oral glucose tolerance test. The presence of ADA risk factors was recorded, as was the absence of all three risk factors, and compared with the results of 50-gram GCT. We evaluated the predictive value of different combinations of risk factors relative to the results of screening.
Results: 66 women (6.9%) had a positive screening test, with 16 (1.75%) eventually diagnosed with GDM based on OGTT results. GCT was negative in 616 (95.3%) women, who had at least one of the three risk factors – age >25 years, BMI ≥27kg/m2, or a positive family history of diabetes – and in 231 (27.3%) women who had none of these risk factors [odds ratio = 70.3, 95%-CI = 2.23-22.21 p<0.0001].
Conclusion: Selective screening of pregnant women will detect most cases of gestational diabetes where resources to implement universal screening are limited. The most important factors in selecting screening candidates are age, body mass index, and family history of diabetes mellitus.

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Background: Diabetes is a common endocrine disease in human kind. In most type II diabetic patients, obesity and overweight status account as the serious health problems worldwide and variety of endocrine factors well known that have regulatory role in weight balance and body composition including Leptin and IGF-I factor. The aim of this study was to examine the correlation between Leptin and IGF-I in type II diabetics and controls.
Methods: As a case- control study, 38 type 2 diabetics (20 males and 18 female with mean age 49.22) and 46 healthy controls (16 males and 30 females with mean age 49.52) are recruited. We measured the concentrations of FPG, IGF-I, HbA1C and IGFBP-3 in both groups. FPG was measured by enzymatic glucose oxidase method and Hb Gold analyzer HPLC was used to measure HbA1C. Determination of Leptin, IGF-I, IGFBP-3 and Insulin concentrations were carried out using ELIZA method. P< 0.05 was considered as statistically significant.
Results: The mean of BMI and age were not significantly different in both groups. The mean serum levels of IGF-I, Leptin, Insulin, FPG and HbA1c concentrations in type II diabetics were significantly higher than controls (P< 0.05). In males, the mean serum levels of Leptin were statistically lower than in females in both groups. There was a strong correlation between IGF-I and IGFBP-3, Leptin and insulin, IGF-I and age, and BMI with FPG in both patients and controls (P< 0.05). A reverse correlation was observed between IGF-I and HbA1c in patients and controls (P< 0.05).
Conclusion: It is speculated that based on this findings, Leptin and IGF-I system could have regulatory roles in body composition and fat content particularly in obese and overweight diabetic patients and have significant correlation with Insulin, glucose, BMI and age.

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Background: In many studies, Serum lipoprotein(a) [Lp(a)] levels considered as an independent risk factor for atherosclerosis. The aim of this study was to assess the association between Lp(a) and cervical carotid artery stenosis in one sample the Iranian population.
Methods: As a cross sectional study, between June 2004 and January 2005, at Tehran Heart Center, 1189 candidates for any kind of open heart surgery, were recruited into this study. Carotid Dopplers ultrasonography was performed for all participants. Serum levels of Lp(a), total cholesterol, triglyceride and blood sugar and quantitative CRP were measured in fasting state and their correlations with carotid atherosclerosis were assessed.
Results: Among 1189 participants, 837 (70.5%) were male and 352 (29.4%) were female. Their mean age was 60±9.3 years (range between 35 to 88). There was not significant relation between Lp(a) serum levels and carotid artery stenosis (P=0.46). The relationship between Lp(a) levels and carotid artery stenosis in both ≤55 years and >55 years patients was not significant too (P=0.25). Also gender has no relationship in this regard (P=0.15). Significant relationship was found between Lp(a) level & hypoecho plaques (vulnerable lesions) (P=0.001).
Conclusion: In our study, we found no significant correlation between serum Lp(a) and carotid stenosis. Lp(a) was found to have positive relationship with hypoecho plaques (vulnerable lesions) which predispose patients for CVA. Further investigations suggest for better evaluations.

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Background: Diabetes mellitus can have variable and sometimes profound effects upon the oral tissues. It has been shown that uncontrolled or poorly controlled diabetics have particularly a greater incidence of severe recurrent bacterial or fungal infections and periodontal diseases. The purpose of this study was to determine thee relationship between oral manifestations in diabetic patients and duration of disease, and glycemic control.
Methods: We studied 116 diabetic outpatients referred to Diabetes Clinic of Shahid Bahonar Hospital of Kerman Province. We evaluated the following parameters: dental caries, periodontal status, xerostomia, burning sensation and mucosal alterations. We also recorded information about history of diabetes and glycemic control. Data were subjected to SPSS and X, t- test.
Results: The most frequent alterations in this study were gingivitis (96.3%), periodontitis (90.2%), and xerostomia (97.24%). Burning sensation and periodontal diseases were significantly correlated to duration of diabetes (P=0.002, P=0.012 respectively).The results of the present study showed that periodontal diseases occur more frequently in moderately and poorly controlled diabetic patients than in those with good glucose control, but this difference was not statistically significant.
Conclusion: In this study, dry mouth and periodontal diseases are common complaints among diabetic patients. Therefore management of oral diseases in diabetic patients should include a comprehensive evaluation of salivary function and periodontal status.

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Background: Diabetes is a chronic disease which requires patient participation in treatment process. The outcome of the treatment depends on the patient health belief and the cognition about illness. The aim of this study was to clarify the effect of educational intervention focusing on Health Belief Model in health beliefs and awareness of diabetic patients.
Methods: As a clinical trial 64 diabetic patients were selected from 4 hospitals in Tehran in 2006. Patients randomly assigned to two equal number groups, as case and control groups. After determine of education needs using the health belief model, education program were performed in intervention group. Data from each patient was collected by using questionnaire, at the initial visit and two month after education. Parametric and nonparametric tests were used for statistical analysis.
Results: Independent t test didn’t show a significant difference between two groups in the HBM's domains before the educational program (p>0.05). After education the same test indicated a significant difference between two groups (p<0.05), except in perceived barriers and perceived benefits domains (p>0.05). In the intervention group awareness from 11 to 15(p<0.0001), perceived susceptibility from 27 to 30 (p<0.05), perceived severity from 20 to 25 (p<0.0001), self efficacy from 19 to 22 (p<0.0001) and self care behaviors from 95 to 117 (p<0.0001) increased.
Conclusion: Educational intervention focusing on changing health beliefs and increasing awareness may be effective in promoting self care behaviors in diabetic patients.

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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.

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Background: According to the importance of the family physicians program results in rural areas and government decision to apply this program in urban areas of Iran, This study aimed to determine the quality of care and blood sugar control, blood pressure and blood lipids in diabetic type &Iota&Iota patients in rural areas covered by family physicians. Methods: In this study, 380 patients 30-76 years old with medical records in the health centers of the malekan-Iran in rural areas in 2013, after informed consents were enrolled. Data were collected by interview and HbA1c examinations and using a standard questionnaire. Data analyzed by SPSS19 version. Multivariate logistic regression was used to estimate odds ratios adjusting for diabetes complications and related risk factors. Results: Results showed that 68% Study participants was women’s and average age of patients was 57.86±11.9 and sex ratio of females to males was almost 2.2 with 1. Final analysis showed that HbA1c levels more than 7% (PHbA1c=0.002), cholesterol over 240 mm/dl (Pcholesterol=0.04) and hypertensive over 140/90mm/Hg (PHTN=0.007) 1.52, 2.44 and 1.44 times increased risk of diabetes complications, respectively. Conclusions: The quality of care and blood sugar control in diabetic patients was lower than compared to the American Diabetes Association (ADA) standards, but our results are near to results of Country studies.

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Background: Today many people are likely to have diabetes. Diabetes is a serious disease of modern societies and its on-time diagnosis have important role in the treatment of disease. Methods: In this paper, using Sugeno fuzzy inference systems and intelligent algorithms Firefly, a new method is presented for the detection of diabetes. The proposed method enables the use of a few simple fuzzy rules to detect diabetes with good accuracy. Results: Sugeno fuzzy inference system and firefly algorithm com

Background: Today many people are likely to have diabetes. Diabetes is a serious disease of modern societies and its on-time diagnosis have important role in the treatment of disease.

Methods: In this paper, using Sugeno fuzzy inference systems and intelligent algorithms Firefly, a new method is presented for the detection of diabetes. The proposed method enables the use of a few simple fuzzy rules to detect diabetes with good accuracy.

Results: Sugeno fuzzy inference system and firefly algorithm combines efficiency was 87.24 percent.

Conclusion: Experimental results show that this method deals on the data set is more accurate than the standard PID algorithm in this field.

bines efficiency was 87.24 percent. Conclusion: Experimental results show that this method deals on the data set is more accurate than the standard PID algorithm in this field.

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Background: Osteoarthritis (OA) is the most common joint disorder and the most prevalent cause of joint pain across the spectrum of middle age to elderly. The purpose of this study was to determine the role of subjective norms and perceived behavioral control on self-care among elderly patients with osteoarthritis who are suffering from OA in Yazd city, Iran.
Methods: A cross-sectional study was conducted and 87 elderly who attained to health centers subjects through simple sampling methods. The data collection instrument was a questionnaire designed for the study which the first includes demographic variables, of subjective norms and perceived behavioral control Part II, and self-care behaviors categories of items Part III. The questionnaires completed by interview and data were analyzed by SPSS18 software using T-Test, ANOVA, correlation coefficient tests.
Results: The mean score of the subjective norms, perceived behavioral control and self-care were 81.85±11.40 (The top 110 scores), 90.19±6.19 (The top 120 scores) and 44.93±5.84 (The top 60 scores), respectively. The results showed that between subjective norms and perceived behavioral control and self-care with demographic variables except education and perceived behavioral control (P =0.001), the history of disease of self-care (P =0.001) and perceived behavioral control and economic status (P =0.002) were not a significant relationship, Also The results Pearson’s correlation test revealed that there was a significant correlation between self-care behaviors and perceived behavioral control (P =0.008, r=0.297).
Conclusion: As for strong association between behavioral control and self-care that we found in our study and high influence and extension of mass media, it recommends to emphasis on using these methods as educational assistance devices in interventional programs in these medias.

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Background: Considering the importance of chronic diabetes and significant impact on patients' quality of life, A study to evaluate health-related quality of life in type II diabetic patients referred to diabetes clinic in Sabzevar  And factors associated with planning and designing health promotion interventions in the areas studied
Methods: This cross-sectional study in which 197 patients with type II diabetes referred to diabetes clinic participated. Of data through a two-part questionnaire that included demographic characteristics, social and Quality of Life Questionnaire, which has a five physical, psychological, social, economic and disease and treatment, collected and then using SPSS version 16 and using Chi-square tests, ANOVA, t-test and Spearman correlation coefficient were analyzed.           
Results: The findings of the study suggests that most participants in the study were in the age group aged 50 to 60, 77.2% female, 85.8% were married, 74.6 percent were housewives. Average quality of life in terms of physical functioning, role limitations due to emotional problems and emotional health and physical pain was good. There was a significant difference between the score of physical function, feeling well and pain according to education (P≤ 0/05).
Conclusion: The findings of this study have informed us about the impact of diabetes on the quality of life of patients with this disease, which can be used to plan the care of chronic patients and improve their quality of life.

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Background: Vitamin D plays an important role in the health, survival and fertility of humans, This Vitamin has a significant role in calcium homeostasis and cellular growth and facilitating normal immune system function. In recent years, the role of vitamin D in various diseases has been highlighted. Regarding high prevalence of vitamin D deficiency in Iran, The aim of this study was to determine the prevalence and status of vitamin D of Hamadan.
Method: A cross-sectional descriptive study in a one-year period, 7816 patients were referred to the laboratories of Shahid Beheshti and Farshchian Sina Hospitals of Hamadan Were investigated. The data was analyzed using R-version 3.2.3 and at a significant level of 0.05. The modified effect of age and sex factors on vitamin D level was investigated using logistic regression model.
Results: The prevalence of vitamin D deficiency was 0.69 in Hamadan province. 20.2% had severe deficiency (less than 10 Ng/ml) vitamin D, 20.5% moderate deficiency (10 to 20 Ng /ml), 28.6% mild deficiency (20 to30 Ng/ml), the prevalence of this deficiency was 46.7% in men and 38.7% in women. According to the results, there is a significant relationship between sex and age with vitamin D levels (p-value <0.001).
Conclusion: Based on this study and other studies, vitamin D deficiency is common in Iran and requires further investigation to improve the quality of life and prevent complications from deficiency of this essential vitamin.

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Background: The purpose of this study was to compare the effects of a 12 weeks interval training with high and moderate intensity on PGC-1α of skeletal muscle in type 2 diabetic male rats.
Methods: 40 male rats were divided into two groups: High fat diet (HFD) (n=32) and standard diet (C) (n=8) for 10 weeks. After inducing type2 diabetes via STZ, 8 diabetic rats (D) and 8 rats in group C rats sacrificed and the remaining 24 Rats were randomly assigned to three groups of diabetic control (DC), moderate intensity interval training (MIIT) and high intensity interval training (HIIT).The MIIT protocol includes 13 bouts of 4-minute activity with equivalent intensity of 60-65% vo2max  and the HIIT protocol includes 10 bouts of 4-minute activity with equivalent intensity of 85-90% vo2max with 2 minute active rest periods that was applied for 12 weeks, 5 sessions per week. Western Blot method was used to measure PGC-1α protein levels.
Results: The results showed that PGC-1α protein levels were significantly lower in the D group compared to the HC group. In contrast, the HIIT protocol resulted in an increase in protein levels of PGC-1α compared to DC2 group. While MICT had no significant effect on protein levels of PGC-1α (P <0.05). Also, there was no significant difference between the two training groups (P<0.05).
Conclusion: It seems that the intensity of interval training plays an important role in the regulation of skeletal muscle PGC-1α and possibly mitochondria biogenesis in type 2 diabetic rats.
 

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Background: Diabetic cardiomyopathy is the first cause of death in diabetic patients and angiogenesis is the most important mechanism for the recovery of heart blood flow in physiologic and pathologic conditions. The purpose of this study was to compare the effect of eight weeks of moderate continuous and sever interval training on heart angiogenesis in Wistar male diabetic rats.
Methods: 32 Wistar rats were randomly assigned into 4 groups: healthy non-exercised, diabetic no exercise, diabetic + moderate continuation and diabetic + severe interval exercises. Two types of exercises were calibrated and the exercise intensity was determined based on the maximum oxygen consumption and 5 days a week. The pro-angiogenic (VEGF, MMP₂, TGFβ₁) and anti-angiogenic (TIMP2) agents of the left ventricle of the heart were taken from the rat after 48 hours of the last training session. Western blot method was used to evaluate the synthesis of proteins involved in angiogenic route. Data were measured by one-way variance analysis with repeated measurements (P =0/000).
Results: The results showed that the levels of proangiogenic VEGF, MMP₂, TGFβ1 significantly increased, but the anti-angiogenic factor of TIMP₂ decreased (P <0.05). In addition, the maximum level of oxygen consumed in both continuous and periodic training groups showed a significant increase.
Conclusion: Moderate and continuous exercise increases angiogenic factors in the heart of diabetic Wistar rats, which is a good way to reduce the mortality rate of diabetes.

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Background: Autophagy is a new therapeutic strategy aimed at reducing the diabetic abnormalities. While excessive or insufficient autophagic activity during diabetes leads to altered cellular homeostasis. So, aim of the present study was conducted to determine the effect of eight-week high-intensity interval training (HIIT) along with caffeine injection on the levels of some myocardial autophagy-related proteins in diabetic rats.
Methods: In experimental design, fifty male white wistar rats with an age range of 3-2 months  (average weight 250±25 g) were randomly divided into 5 groups of homogeneous 10 rats in each group: Healthy control (C: intraperitoneal injection of saline), Diabetic control (D: high-fat diet combined with a single intraperitoneal injection of streptozotocin, Diabetic with training (D+T: running with intensity at the 85-90% of maximum speed in 5 to 12 bout of 2 min^-1; 5 days/week for 8 weeks), Diabetic with caffeine supplementation(D+CA: intraperitoneal injection of pure caffeine at 70 mg.kg^-1 5 days/week for 8 weeks), Diabetic with training and with caffeine supplementation (D+T+CA). For evaluate changes in the expression profile of some of the genes associated with autophagy signaling pathway (LC3-II, ULK-1, Beclin1) in the myocardium (left ventricular), based on Western blot analysis will be used. Also, the one-way analysis of variance (ANOVA) and Tukey post hoc test were be used to analyze the data.
Results: The expression of all autophagic proteins in diabetic with trained and non-trained groups was higher than in healthy
group (P≤0.05). On the one hand, the expression of autophagy-related proteins in the trained group with caffeine supplementation was significantly higher than that of the training group without caffeine intake (P=0.001).
Conclusion: The findings of this study suggest that caffeine injection exacerbated the expression of autophagic proteins induced by diabetes; On the other hand, high-intensity interval training can as a preventive strategy, modulate diabetes-induced myocardial autophagy.

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Background: Obesity and type 2 diabetes can impair the function of cells, including CREB and CRTC2 proteins, which are important for regulating adipose tissue metabolism. Therefore, the purpose of the present study was to investigate the effect of eight weeks of high intensity interval training (HIIT) on CREB and CRTC2 proteins levels in subcutaneous adipose tissue of obese rats with type 2 diabetes.

Methods: In this experimental study, 12 head two-month-old Sprague-Dawley rats with a mean weight of 300±20 g were selected. After diabetic induction with Streptozotocin and Nicotinamide, rats were randomly assigned to two groups, diabetic training (6 heads) and diabetic control (6 heads). The training groups performed the training program 4 days a week for 8 weeks, including 5 interval 4-minute with an intensity of 85 to 95% of the maximum speed, and 3-minute active rest periods with an intensity of 50 to 60% of the maximum speed; SPSS software version 23 and independent t-test were used to analyze the data.
Result: After eight weeks of HIIT training, no significant change in CREB protein level was observed in the training group compared to the control (P<0.22); However, a significant increase in CRTC2 protein level was observed in the training group compared to the control (P<0.005);
Conclusion: HIIT training did not result in a change in CREB protein level. But, it was able to increase the CRTC2 protein level, which could lead to the regulation of adipose tissue metabolism in diabetic subjects.

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Background: With the increasing prevalence of diabetes in children and the resulting mental pressures, attention to these patients has become a health priority in the world. Psychological distress is one of the problems of these patients that affects different aspects of their lives. It seems that enduring psychological distress can affect the psychological problems of these patients. Therefore, the present study was conducted with the aim of determining the relationship between psychological distress and tolerance of psychological distress in children with diabetes in Zahedan city.
Methods: This was a cross-sectional study. The samples included 200 children with pediatric diabetes referred to the diabetes clinic of Ali Ibn Abi Talib (AS) hospital in Zahedan and met the inclusion criteria. The data collection tool included the demographic information form and Kessler's psychological distress and Gaher's distress tolerance questionnaires, which were completed by interviewing the child. Descriptive and analytical data analysis was done using spss27 software.
Results: 52.6% of all subjects studied were girls and the average duration of infection was 22.6 months. A significant relationship was found between psychological distress and tolerance of psychological distress (r = -0.65 p < 0.001).
Conclusion: The findings showed that there is a significant and inverse correlation between psychological distress and distress tolerance. In other words, the higher the psychological distress tolerance, the less distress a person experiences. Therefore, it seems that in order to enjoy higher mental health in these patients, attention should be paid to improving their distress tolerance.

 

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Background: Diabetes is a chronic condition that can significantly impairs quality of life and requires long-term care due to its complications. Effective self-care education plays a key role in blood glucose control and in the prevention of diabetes-related complications. Telenursing is considered a promising approach to enhance self-care education in patients with type 2 diabetes.
Methods: This study was a systematic review conducted using a three-stage search strategy. Using Persian and English keywords including "telenursing," "self-care," and "diabetes," as well as their MeSH equivalents, relevant literature was searched in Persian databases (Magiran, SID) and international databases (PubMed, Scopus, Google Scholar) within the time frame of 2000 to 2023. After applying inclusion criteria, 17 out of 1,092 retrieved articles were selected for final review and analysis.
Results: A total of 1,092 articles were initially retrieved. After removing duplicates and applying the inclusion criteria, 17 relevant articles were included in the review. These studies evaluated the use of telenursing—either via telephone or in combination with other technologies—for effectively improving self-care behaviors in diabetic patients. 
Conclusion: The findings indicated that telephone calls can serve as a potential method of remote nursing care for educating patients on diabetes self-management. Nurses can utilize telenursing as an effective and efficient educational tool to enhance blood glucose control in diabetic patients. This approach not only improves the quality of healthcare services but also empowers patients to manage their disease more consciously and prevent its complications.
 

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Background: Metabolic syndrome in obese children and adolescents raises the risk of cardiovascular disease and type 2 diabetes. Research suggests that exercise training may improve cardiometabolic health in this population. This meta-analysis aims to evaluate the impact of exercise on these risk factors in children and adolescents with metabolic syndrome., and behavioral outcomes in children and promoting awareness, self-care skills, and quality of life in families.
Methods: A systematic search of English and Persian articles was conducted from PubMed, Web of Science, and Scopus databases without time limits until May 2024. In data analysis, a random-effects model was used to calculate the weighted mean difference (WMD), standardized mean difference (SMD) and 95% confidence interval (CI). Also, heterogeneity of studies was assessed with the I² test.
Results: The results of 6 studies involving 1,761 participants demonstrated that exercise training led to significant reductions in body weight [WMD = −6.32 kg, P=0.001], waist circumference [WMD = −9.11 cm, P=0.001], LDL [WMD = −0.52 mmol/L, P=0.001], TC [WMD = −0.65 mmol/L, P=0.001], serum TG [WMD = -0.56 mmol/L, P=0.001)], fasting glucose [WMD = −0.19 mmol/L, P=0.03], fasting insulin [SMD = −1.01, P=0.001], and HOMA-IR [WMD = −1.60, P=0.001] compared to the control group in obese children and adolescents with metabolic syndrome.
Conclusion: Exercise interventions significantly reduce body weight, waist circumference, and blood pressure, while improving lipid profiles, including serum LDL, TC, and TG levels, in obese children and adolescents with metabolic syndrome. However, these interventions exhibited no significant impact on serum HDL concentrations. Consequently, to reduce cardiovascular risk factors and improve metabolic conditions, it is essential to implement long-term exercise interventions.

 

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Background: Biobanks are biological repositories that collect, process, store, and distribute human biological samples. Among them, tumor banks play a central role in biomedical research. The overall goal of a tumor bank is to collect cancerous and normal samples under standardized conditions for basic, clinical, or applied research.
Methods: Tumor samples from patients with endocrine neoplasms were collected from excess tissue samples not required for diagnostic purposes after surgery in the surgical department of Dr. Shariati Hospital, Tehran, Iran. In addition, relevant biological samples such as serum, plasma and DNA were collected in parallel. Prior to sampling, informed consent was obtained from the patients and a questionnaire was completed. After rapid freezing with isopentane, tissue samples were stored in a liquid nitrogen tank, while other biological materials, such as serum, were stored in a -80°C freezer.
Results: Tissue, plasma, serum, and DNA samples collected from patients with endocrine neoplasms were stored in separate barcoded storage boxes in the biobank and were made available to researchers.
Conclusion: The use of bioproducts in domestic research and international networks has strengthened research collaborations through supporting the collection and distribution of tissues, especially cancer tissues. This trend plays an important role in facilitating basic and applied research in various fields of cancer, including molecular biology, immunology, genetics and pharmacology, and will pave the way for scientific advances and therapeutic innovations.