Aggressive Care After a Massive Stroke in Young Patients: Is That What They Want?

Background  

The assumption is often made that aggressive care in the form of early decompressive hemicraniectomy is appropriate for young patients who suffer a massive stroke. However, neither their attitude toward aggressive treatment, nor their perception of acceptable quality of life after a stroke, has been adequately studied.     

Identification of undeclared active pharmaceutical ingredients in counterfeit herbal medicines used as opioid substitution therapy

Adulteration of traditional herbal drugs with undeclared active pharmaceutical ingredients is a global problem with the increase in popularity of herbal-based medications. Many unprofessional herbal stores introduce herbal medicines as traditional formulations, but there are poor regulations for traditional herbal products’ consistency and safety in Iran. The current study aimed to identify undeclared active pharmaceutical ingredients in traditional herbal medicines used as opioid substitution therapy. In this research study, systematic toxicological analysis was performed for the analysis of 80 traditional herbal medicine samples. Samples were prepared and analysed by gas chromatography/mass spectrometry (GC/MS) instrumentation. More than 96% of samples contained at least one pharmaceutical active ingredient. Diphenoxylate and tramadol were detected in 90% and 67% of samples respectively. Moreover, some other pharmaceutical ingredients such as acetaminophen, codeine, sertraline, and fluoxetine were found in the samples. Quantitative analysis of samples showed that capsules contained diphenoxylate and tramadol at concentrations of 1.4–4 mg/capsule and 67–150 mg/capsule respectively. Traditional herbal preparations are not regulated as medicines in Iran. Herbal drugs with undeclared active ingredients are potentially dangerous for consumers; therefore, serious safety concerns must be associated with their production, distribution and use.     

The relationship between general health and coping style with perceived stress in primigravida healthy pregnant women: Using the PATH model

The aim of this study was to analyze relationships among general health, coping style, and perceived stress in healthy primigravida pregnant women. A cross-sectional study was conducted at public health clinics in Hamadan city, Iran between July and December 2015. In total, 380 pregnant women were selected through stratified random sampling. Data were collected using the Revised Prenatal Coping Inventory and General Health Questionnaire. Perceived stress was assessed through an interview comprised of open-ended questions. The final PATH model fit well; general health (β = 0.02) as well as anxiety and sleep disorders (β = 0.03) were slightly directly associated with perceived stress, and only planning–preparation was related to perceived stress through general health (β = 0.09). The findings enhance the knowledge gained from previous perinatal stress research. General health status was directly related to stress, and coping style was indirectly related to stress. Coping styles may mediate the relationship between general health status and perceived stress, suggesting that midwives should attempt to improve the general health of women to reduce stress and its consequences during pregnancy by teaching patients appropriate coping styles. Further studies on the effect of coping style interventions on stress are warranted.     

Comparison of Selenium Toxicity in Sunflower and Maize Seedlings Grown in Hydroponic Cultures

Several studies have demonstrated that selenium (Se) at low concentrations is beneficial, whereas high Se concentrations can induce toxicity. Controlling Se uptake, metabolism, translocation and accumulation in plants is important to decrease potential health risks and helping to select proper biofortification methods to improve the nutritional content of plant-based foods. The uptake and distribution of Se, changes in Se content, and effects of various concentrations of Se in two forms (sodium selenite and sodium selenate) on sunflower and maize plants were measured in nutrient solution experiments. Results revealed the Se content in shoots and roots of both sunflower and maize plants significantly increased as the Se level increased. In this study, the highest exposure concentrations (30 and 90 mg/L, respectively) caused toxicity in both sunflower and maize. While both Se forms damaged and inhibited plant growth, each behaved differently, as toxicity due to selenite was observed more than in the selenate treatments. Sunflower demonstrated a high Se accumulation capacity, with higher translocation of selenate from roots to shoots compared with selenite. Since in seleniferous soils, a high change in plants’ capability exists to uptake Se from these soils and also most of the cultivated crop plants have a bit tolerance to high Se levels, distinction of plants with different Se tolerance is important. This study has tried to discuss about it.     

NMDA receptors of dorsal hippocampus are involved in the acquisition, but not in the expression of morphine-induced place preference

In the present study, involvement of the N-methyl-d-aspartate (NMDA) receptors of the CA1 region of dorsal hippocampus (intra-CA1) in the acquisition or expression of morphine-induced conditioned place preference in rats was studied. Male Wistar rats were used in these experiments. NMDA-receptor agonist (NMDA) and antagonist (MK-801) were injected into the CA1 region of the dorsal hippocampus (intra-CA1) and morphine was injected subcutaneously. An unbiased conditioned place preference paradigm was used to study the effect of these agents. In the first set of experiments, the drugs were used during the development of conditioned place preference by morphine or they were used alone in order to see if they induce conditioned place preference or conditioned place aversion. Our data showed that subcutaneous (s.c.) injection of morphine sulphate (2.5-10 mg/kg) induced conditioned place preference in rat. NMDA (0.1-1 microg/rat) or MK-801 (1-4 microg/rat) did not induce conditioned place preference or conditioned place aversion. Intra-CA1 administration of different doses of NMDA (0.1-1 microg/rat) increased, while MK-801 (1-4 microg/rat) decreased morphine-induced place preference. MK-801 reversed the effect of NMDA on morphine response. In the second set of experiments, when the drugs were used before testing on Day 5, in order to test their effects on the expression of morphine (7.5 mg/kg)-induced place preference, intra-CA1 administration of NMDA or MK-801 did not alter the morphine response. None of the drugs influenced locomotion. It is concluded that NMDA receptor of the CA1 region of hippocampus are involved in the acquisition but not expression of morphine-induced place preference.     

Microextraction technique based on ionic liquid for preconcentration and determination of palladium in food additive,sea water,tea and biological samples

Modified cold-induced aggregation microextraction (M-CIAME) is a fast and simple method for extraction and preconcentration of metal ions from samples with high salt content. Furthermore, this technique is much safer in comparison with the organic solvent extraction. The extraction of palladium (Pd) was performed in the presence of Michler thioketone (TMK) as the complexing agent. In this method, sodium hexafluorophosphate (NaPF₆) was added to the sample solution containing small amounts of 1-hexyl-3-methylimidazolium tetrafluoroborate [Hmim][BF₄]. Afterwards, the solution was placed in the ice bath and a cloudy solution was formed. After centrifuging, the extraction phase was settled. Under the optimum conditions, the limit of detection (LOD) was 0.2 ng mL⁻¹. The relative standard deviation (RSD) was 1.7% for 40 ng mL⁻¹ of palladium (n = 5).     

Blood Levels of Methemoglobin in Patients with Aluminum Phosphide Poisoning and its Correlation with Patient’s Outcome

Although methemoglobinemia following aluminum phosphide (AlP) intoxication has been reported, probable effect of blood level of methemoglobin (Met-Hb) on outcome of AlP-poisoned patients has not yet been investigated. This study aimed to evaluate blood levels of methemoglobin in patients with AP intoxication and its correlation with patient’s outcome. This prospective study was carried out at the Loghman–Hakim poison hospital from April 2009 to August 2009. All patients aged >12 years who had ingested AlP and were admitted at the hospital were enrolled in the study. Using the co-oximetry, blood Met-Hb level was measured at the time of admission and 24 h later if the patient survived. Forty-eight patients with AlP intoxication including 24 males were evaluated. Mean age of the patients was 25.5 ± 9.5 years. There was significant association between blood level of Met-Hb at the time of admission and mortality (2.4% ± 7.1% in survivors versus 15.2% ± 13.5% in non-survivors, P < 0.001). The same association was found at the 2nd day of admission (2.9% ± 8.2% in survivors versus 26.5% ± 19.9% in non-survivors, P = 0.02). The present study found an association between blood level of Met-Hb and mortality in patients with AlP intoxication. Effect of administration of vitamin C and methylene blue on outcome of patients with AlP intoxication should be investigated in future studies.